Quiste de paratiroides recurrente: A propósito de un caso

Abstract

The parathyroid cyst is a very infrequent entity, so much so that only round about 200 cases have been described up to now. It can be functional and non-functional. The studies of image don't clarify to us if procedence becomes of parathyroid or it has another origin, and the diagnosis is made with the analysis come from the liquid obtained in the puncture aspiration, where high PTH's concentrations are seen. Surgery is the treatment for functional cysts and the puncture aspiration for non- functional, the fact that they use to get solved with only one but sometimes is necessary to repeated it, even more than one time, keeping for the surgery when recurrent. We presented a clinical case of recurrent parathyroid cyst and his natural evolution, due to patient rejects surgery, being necessary repeated punctures. It hasn't become malignant after 10 years and his functional status wasn't changed, being necessary to accomplish repeated punctures aspirations each 2-3 months for local bothers.

Parathyroid cysts

“…No recurrences or metastasis is observed, except for 14 cases of patients, from whom 10 patients appeared with 1 recurrence, 3 with 2 recurrences, and 1 with 3 recurrences within their follow-up period. [ 2 , 40 , 54 , 65 , 166 , 169 , 170 , 210 , 215 , 220 , 223 , 224 ] These recurrences appeared after the first FNA and surgical excision was mandatory as their definitive treatment. According to a study published by Lorenzo et al [ 224 ] in 2008, malignant transformation has not been noted in 10 years follow-up of a case of a recurrent PC, which needed repeated FNA due to patient's rejection to be operated.…”

Parathyroid cysts: experience of a rare phenomenon at a single institution

“…These reports suggest that the larger the cyst is, the more likely it is to relapse after the procedure. Sclerosing agent injections are not recommended because they can flow out from the capsule and cause serious complications such as fiber degeneration or damage to the recurrent laryngeal nerve, resulting in vocal cord paralysis [ 26 , 27 ]. It has been suggested that the optimal treatment for symptomatic NFPCs is surgical resection [ 1 , 28 ].…”